NPI 1871733659

Gretta Dickman, LMT

Practitioner Massage Therapist Roswell, NM

Practice location

Address: 1717 W 2nd St Suite 115, Roswell, NM 88201-2000
Phone: (575) 623-3548

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 150 (NM)

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Registry record

NPI: 1871733659
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2009
Record last updated: 6 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.